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Ohio rates for HCPCS 40761

Plastic repair of cleft lip/nasal deformity; with cross lip pedicle flap (Abbe-Estlander type), including sectioning and inserting of pedicle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,302.08 / $5,355.00 / $10,817.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$971.60 / $1,059.93 / $2,133.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,084.00 / $4,437.00 / $19,117.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$886.41 / $1,152.14 / $2,109.26
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,039.84 / $1,514.16 / $1,514.16
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,005.22 / $1,121.41 / $1,121.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$953.19 / $1,345.21 / $2,118.01
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$999.07 / $1,421.59 / $2,118.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.25 / $880.20 / $1,423.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,206.00 / $6,392.00 / $10,075.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$908.30 / $1,240.45 / $2,401.28